Individual provider Active NPI

Isandr Dumesh, MD

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1548308307
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199872 Issued in NY
Practice address
20 Old Farmers LN
Staten Island, NY 10304-1439
Phone
(917) 449-0197
Fax
(718) 559-4723
NPI assigned
Feb 2, 2007
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 199872 NY Primary

Addresses

Primary practice location

20 Old Farmers LN
Staten Island, NY 10304-1439

Mailing address

1 Rockwood Rd
Sleepy Hollow, NY 10591-1053
Phone (914) 846-3113

Other practice location 1

4223 Francis Lewis Blvd Ste 201
Bayside, NY 11361-2580
Phone (718) 987-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160610000342 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1153611736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1548308307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROCKWOOD RD",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911053",
            "telephone_number": "914-846-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLD FARMERS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041439",
            "telephone_number": "917-449-0197",
            "fax_number": "718-559-4723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4223 Francis Lewis Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612580",
            "country_code": "US",
            "telephone_number": "718-987-2584",
            "fax_number": "718-559-4723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMESH",
        "first_name": "ISANDR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.